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Medical Forum / General / Vision / April 2004

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Some wild and crazy guys (and girls)

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Otis Brown - 22 Apr 2004 02:56 GMT
Dear Friends,

Here are a group of people who want to make their
eye NEARSIGHTED.

http://wurm.laughingsquid.net/es/bbs/threads/48.html

I though it was a "put on", but you can decide.

Enjoy,

Otis
Engineer
Dr. Leukoma - 22 Apr 2004 12:59 GMT
> Dear Friends,
>
[quoted text clipped - 9 lines]
> Otis
> Engineer

Otis, I think that you have finally found a place where you can preach to
the choir.  LOL!

DrG
Otis Brown - 23 Apr 2004 04:44 GMT
> > Dear Friends,
> >
[quoted text clipped - 14 lines]
>
> DrG

Dear DrG,

Certainly, that would be the group to do the
"human experiment" you suggested could not be done.

They would have to make their own measurements
using an eye-chart and trial-lens kit, but
it would be an easy experiment to conduct -- provided
they do not mind that the refractive status of the
test group (with -3 diopter lens
worn all the time) moves negative relative to control group.

Since the Donders-Helmoltz theory insists that a
"delta" in the visual enviroment has NO EFFECT
on the refractive status of the natural eye,
we could determine the validity of that
statment is about six months -- on
a scientific level.

Best,

Otis
Engineer
Dr. Leukoma - 23 Apr 2004 12:06 GMT
>> Otis, I think that you have finally found a place where you can
>> preach to the choir.  LOL!
[quoted text clipped - 5 lines]
> Certainly, that would be the group to do the
> "human experiment" you suggested could not be done.

Never suggested anything of the kind.  I have not involved myself in any
discussions of hypothetical experiments.  All I have said is that current
research does not seem to support some of your accusations.  Yes, I call
them accusations, because it has become increasingly clear that your agenda
is really anti-optometry/optician as opposed to true science.

DrG
Dr. Leukoma - 23 Apr 2004 12:07 GMT
>> Otis, I think that you have finally found a place where you can
>> preach to the choir.  LOL!
[quoted text clipped - 5 lines]
> Certainly, that would be the group to do the
> "human experiment" you suggested could not be done.

Never suggested anything of the kind.  I have not involved myself in any
discussions of hypothetical experiments.  All I have said is that current
research does not seem to support some of your accusations.  Yes, I call
them accusations, because it has become increasingly clear that your agenda
is really anti-optometry/optician as opposed to true science.

DrG
Dr. Leukoma - 23 Apr 2004 12:41 GMT
> Dear DrG,
>
> Certainly, that would be the group to do the
> "human experiment" you suggested could not be done.

Should we hold our collective breaths until we see such a study with your
fingerprints on it published in a reputable journal?  I think not.

DrG
Otis Brown - 23 Apr 2004 19:26 GMT
> > Dear DrG,
> >
[quoted text clipped - 5 lines]
>
> DrG

Dear Dr. G,

Your opinion, of couse.  The ODs that "count" are now
using a plus on their own children -- because
the realize the importance of maintaining
a "protective" hyperopic reserve of +0.5 diopters.

That action speaks volumes about what is truly
important in this issue.

Best,

Otis

cc:  ODs who care.  When they care for
their own children in this way -- they will
care about YOUR chidren.
Dr. Leukoma - 23 Apr 2004 20:06 GMT
>> > Dear DrG,
>> >
[quoted text clipped - 24 lines]
> their own children in this way -- they will
> care about YOUR chidren.

No, I wouldn't say that this was "just my opinion." I think you are the one
who is expressing the opinion, or the "second opinion," or "minority
opinion" as you like to say.

Where's the proof of anything you assert?  Why aren't you being joined here
by the legions of pilots, engineers, and ODs who support your "second
opinion?"  Why, just two or three would help your argument, if in fact they
could buttress it with some research.

DrG
Otis Brown - 25 Apr 2004 05:19 GMT
> >> > Dear DrG,
> >> >
[quoted text clipped - 35 lines]
>
> DrG

Dear DrG,

You asked for proof that the natural eye moves
negative at a rate of -1/3 diopters per year
at a military academy.  You choose to ignore
that kind of proof -- and encourage others
to ignore that kind of proof.

I am certain you will NOT DISCUSS this
situation with a person at 20/40 (-1/2 diopters)
and you supply direct scientific PROOF of
that attitude -- which I have learned is
completely destructive.

I believe a person of motivation and intelligence
should be supplied with this type of evidence
BEFORE a minus lens is applied -- and
you believe you have no obligation to offer
a discussion of this type of alternative.

It is true that it does take fortitude and
self-dicipline for the person to take over
control and "do it himself", but again,
given you attitude, I do not think
he has any other choice.

If you were more humble you might have
learn a greater but a more difficult
truth about this difficult matter.

Because it is a "struggle" and depends
on the fortitude of the individual, you
obviously can never "prescribe" prevention.

Best,

Otis
Engineer
Dr. Leukoma - 25 Apr 2004 16:20 GMT
> Dear DrG,
>
[quoted text clipped - 3 lines]
> that kind of proof -- and encourage others
> to ignore that kind of proof.

This is a misleading statistic.  From this someone might infer that 100% of
students have a 1/3 D myopic shift, when in reality some studenst show no
shift whatsoever.

> I am certain you will NOT DISCUSS this
> situation with a person at 20/40 (-1/2 diopters)
[quoted text clipped - 7 lines]
> you believe you have no obligation to offer
> a discussion of this type of alternative.

If there was credible evidence, of course I would feel obligated to offer a
discussion of it.  I used to do this with the parents of children who were
showing abnormal myopic progression, and the discussion centered around
prescribing bifocals.  I did this in the early days of my practice until I
came to the conclusion that it was of dubious value.  In other words, I
learned from my own experiences and published studies.  Why would I
discontinue this practice, particularly when the price of a bifocal lens is
at least double that of a single vision lens?  Why?  Because I choose to be
ethical.

> It is true that it does take fortitude and
> self-dicipline for the person to take over
> control and "do it himself", but again,
> given you attitude, I do not think
> he has any other choice.

There is nothing wrong with my attitude.

> If you were more humble you might have
> learn a greater but a more difficult
> truth about this difficult matter.

This has nothing to do with humility, but simply matters of fact.  If you
tell me that plus lenses prevent myopic progression reliably, I will
remember this the next time I encounter good evidence that it does as you
claim.

> Because it is a "struggle" and depends
> on the fortitude of the individual, you
> obviously can never "prescribe" prevention.

My son is an accomplished pianist.  Most people do not have the discipline
to sit down and practice for the hour or two every day.  The difference
here is that I can assure my son that he will improve if he puts forth the
effort.  I cannot assure him that using a plus lens will prevent him from
becoming nearsighted.  He is -7.50.  My wife is -3.50.  I used to be -4.00,
but I have improved spontaneously to -3.25.

DrG
Otis Brown - 26 Apr 2004 03:45 GMT
Dear DrG,

Thanks for your posting.  I have obviously heard
most of your arguments before.

Please note that

1.  I suggest that the plus be
used BEFORE the minus lens is used AT ALL.

2.  As you stated, the bifocal, (minus lens and plus lens)
is almost DOUBLE the cost of the single-vision lens.
Single vision = $150,  Bifocal = $300.

3.  But you missed the critical point.  I suggest
that the pilot take personal responsibility when
he is at 20/40 and does not required the use
of the MINUS LENS at all.  Therefore NO BIFOCAL.

4.  The cost of single vision spherical plus lenses
is about $15.00.  If used by the pilot, and the
pilot verifies his distant vision clearing by
checking his own eye chart, and passes the
20/20 line after intensive work, the
cost (assuming use of several strength
plus lenses) is about $75.00

The success of this effort depends
COMPLETELY on the technical understanding,
execution and control of the pilot -- and
not on you.

Sorry if you must be out-of-the-loop on
the process.

Best,

Otis
Engineer

cc:  Pilots who learned to do this for themselves,
and ODs who assist their own children with this
difficult but honest process.

> > Dear DrG,
> >
[quoted text clipped - 59 lines]
>
> DrG
Mike Tyner - 26 Apr 2004 13:30 GMT
> The success of this effort depends
> COMPLETELY on the technical understanding,
> execution and control of the pilot -- and
> not on you.

Just as the success of vitamin C depends COMPLETELY on the understanding,
execution and control of the person who has the cold.

-MT
Dr. Leukoma - 26 Apr 2004 14:38 GMT
> Dear DrG,
>
[quoted text clipped - 39 lines]
> and ODs who assist their own children with this
> difficult but honest process.

Oh, I see.  In one instance you wave around the Young Study on the use of
bifocals to reduce myopic progression as "proof" of the effectiveness of
more plus, but then discount the use of bifocals for that purpose.  Are you
now saying that the mechanism isn't the same?  Doesn't being inconsistent
bother you?

But I get your point, which is that this must be done by "the Pilot" on
his/her own terms, employing self-diagnosis and self-treatment without the
intervention of anybody with O.D. after their name.  At least you have
dropped your cleverly veiled pretenses and admitted that keeping the O.D.
"out-of-the-loop" is the chief objective.  Perhaps you are so intent on
this that you have actually convinced yourself that myopia could be
prevented in the general population if only they would take up plus lenses
at the 20/40 level.

Very interesting, Otis.

DrG
LarryDoc - 27 Apr 2004 02:41 GMT
> My son is an accomplished pianist.  Most people do not have the discipline
> to sit down and practice for the hour or two every day.  The difference
> here is that I can assure my son that he will improve if he puts forth the
> effort.  I cannot assure him that using a plus lens will prevent him from
> becoming nearsighted.  He is -7.50.  My wife is -3.50.  I used to be -4.00,
> but I have improved spontaneously to -3.25.

Well there you have it!  A child's myopic progression is determined by
the parents myopia and ultimately reaches a power equal to the sum of
the parents correction.

I have further proof.  My dad is -2.00 -1.00 X 90 and mom is + 3.00 no
cyl.  Both my sister and I are +1.00 -100 X 90.

The plot thickens, much as the chocolate pudding on the stove.  Gotta go.

--LB

Signature

Dr. Larry Bickford, O.D.
Family Practice Eye Health & Vision Care

The Eyecare Connection
http://www.eyecarecontacts.com
larrydoc at eye-care-contacts dot com (remove -)

Dr. Leukoma - 27 Apr 2004 03:09 GMT
>> My son is an accomplished pianist.  Most people do not have the
>> discipline to sit down and practice for the hour or two every day.
[quoted text clipped - 15 lines]
>
> --LB

Eureka.  Thank's for that bit of insight, Larry.

The solution to myopia is for nearsighted and farsighted people to mate.

DrG
Mike Tyner - 27 Apr 2004 08:29 GMT
> The solution to myopia is for nearsighted and farsighted people to mate.

NO NO! You'll create millions of little mixed astigmats!

-MT
David K - 27 Apr 2004 03:44 GMT
>> My son is an accomplished pianist.  Most people do not have the discipline
>> to sit down and practice for the hour or two every day.  The difference
[quoted text clipped - 9 lines]
>I have further proof.  My dad is -2.00 -1.00 X 90 and mom is + 3.00 no
>cyl.  Both my sister and I are +1.00 -100 X 90.

Proof already? Just curious, isn't this exactly the kind of
"anecdotal" evidence that you guys so shun? If it only takes two cases
for you to prove your point, one would think that you being outdone by
Bates people thousands of times over would have an effect.

Just pointing out the double standard...

Dave
Mike Tyner - 27 Apr 2004 09:04 GMT
> Proof already? Just curious, isn't this exactly the kind of
> "anecdotal" evidence that you guys so shun?

In the broadest sense there is a tempering effect when myopes breed with
hyperopes, but genetic inheritance is never just 3-2=1.

I think LarryDoc forgot to add the smiley face.

-MT
Dr. Leukoma - 27 Apr 2004 14:44 GMT
>> Proof already? Just curious, isn't this exactly the kind of
>> "anecdotal" evidence that you guys so shun?
[quoted text clipped - 5 lines]
>
> -MT

You see, another example of how Bates adherents take the written word too
literally.

DrG
David K - 27 Apr 2004 15:39 GMT
>>> Proof already? Just curious, isn't this exactly the kind of
>>> "anecdotal" evidence that you guys so shun?
[quoted text clipped - 8 lines]
>You see, another example of how Bates adherents take the written word too
>literally.

Another conclusion based on one case. You're doing it again...

Dave
Dr. Leukoma - 27 Apr 2004 17:15 GMT
>>>> Proof already? Just curious, isn't this exactly the kind of
>>>> "anecdotal" evidence that you guys so shun?
[quoted text clipped - 12 lines]
>
> Dave

See, now you've provided yet another example.

DrG
Dan Abel - 23 Apr 2004 19:40 GMT
> Dear Friends,
>
[quoted text clipped - 4 lines]
>
> I though it was a "put on", but you can decide.

I thought it was a put on, too.  Although, when I had cataract surgery, I
was given the choice of whether I wanted my eyes corrected for distance or
close.  I chose distance because that mimicked what I was already doing,
wearing contacs for distance and reading glasses over them for close.
I've been quite happy with my decision.  The doctor thought that it was a
good choice, given that I like to be outdoors.  People who stay indoors
and do mostly close work are the ones who choose to have their vision
corrected to close, and then they have to wear prescription glasses to see
far.

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

Jkumar167 - 24 Apr 2004 03:11 GMT
>I thought it was a put on, too.  Although, when I had cataract surgery, I
>was given the choice of whether I wanted my eyes corrected for distance or
>close.  I chose distance because that mimicked what I w

etc.

My father, who was a high myope before his cataract surgery, asked the cataract
surgeon to leave him around -3 or -4.  He was used to holding things close
without glasses to read, and wanted to continue to do so.  He turned out just
around -3 in both eyes, and is very happy.
 
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